Question

A 45-year-old man had coronary artery stents placed 2 days ago. Today, he is in severe distress and is reporting "crushing" chest discomfort. He is pale, diaphoretic, and cool to the touch. His radial pulse is very weak, blood pressure is 64/40 mm hg, respiratory rate is 28 breaths/min, and oxygen saturation is 89% on room air. When applied, the cardiac monitor initially showed ventricular tachycardia, which then quickly changed to ventricular fibrillation. If the lidocaine doent work what drug do you give next?

Answer 1

The drug you should give next is Amiodarone 300 mg  

It is a drug that is used to treat and prevent irregular heartbeat. It helps in blocking some electrical signals that can result to irregular heartbeat in the heart. Amiodarone is a Class III antiarrhythmic.

Further Explanation

How to administer Amiodarone 300 mg

Based on medical directives, a Nurse may administer a dose of amiodarone 300 mg by  

• Drawing amiodarone 300 mg (6 mL) into a 30 ml syringe
• Add 24 ml from a bag of D5W so as to create a final solution 300 mg in 30 ml
• There no need for a filter for the dose
• Administer Intravenous direct.

Amiodarone is used to treat supraventricular tachyarrhythmias such as atrial fibrillation. It is also used to restore the normal heart rhythm including maintaining a steady and regular heartbeat.

It is anti-arrhythmic drug. The drug is available under different brand name, which include: Pacerone, Cordarone, and Nexterone.

The drugs might take several weeks to begin effect when used by mouth and it can also be given by intravenously, or intraosseously.

There are different side effects that are associated with this drug and these include:

• feeling tired
• Nausea
• Tremor
• Constipation

It can also causes serious side effect which include

• Liver problems
• Visions problems
• Thyroid problems
• Impaired memory  
• Death

Amiodarone was first used medically for chest pain in 1962 and due to very serious side effect; the drug was removed from the market. Because of its effectiveness in the treatment of arrhythmias, the drug was reintroduced in 1974.  

LEARN MORE:

• ventricular tachycardia brainly.com/question/12694979

KEYWORDS:

• amiodarone 300 mg
• side effect
• arrhythmias
• irregular heartbeat
• chest pain

Answer 2

Amiodarone (300mg) drugs should be given to the patient. This helps in preventing irregular heartbeat.

Further explanation:

Amiodarone (3oomg) is injected through a syringe. The solution is created by adding 24ml of D5W in 300mg drug. The solution is directly injected intravenously. The dosage should be repeated every 10 minutes to treat supraventricular tachycardia. This drug helps in treating supraventricular tachyarrhythmias such as fibrillation. It helps in regulating the normal heartbeat.

It is an anti-arrhythmic drug that helps in blocking the several electrical signals. These signals are responsible for an irregular heartbeat. It is available under the following brand name; pacerone, Cordarone and nexterone. The overdosage may show several side effects such as increased liver AST levels, low blood pressure, abnormal gait, involuntary movement, hypothyroidism, and congestive heart failure.

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3. Learn more about a dividing eukaryotic cell that is treated with a drug that inhibits the shortening of spindle microtubules. This will cause the cell division cycle to stop at the ____ stage. brainly.com/question/10767798

Answer Details:

Grade: High school

Subject: Biology

Chapter: Central Nervous System.

Keywords:

Amiodarone, injected, intravenously, supraventricular tachycardia, drug, tachyarrhythmias, fibrillation, heartbeat, arrhythmic, gait, hypothyroidism, congestive, failure.